2027 ICD-10-CM Diagnosis Code H40.003Preglaucoma, unspecified, bilateral

ICD-10-CM Codes›H00–H59›H40-H42›H40

ICD-10-CM H40.003
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H40.003 is a billable ICD-10-CM diagnosis code for preglaucoma, unspecified, bilateral. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Glaucoma.

Code Identity

ICD-10-CM Code
H40.003
Billable Status
Yes — Valid for Submission
Code Describes
Preglaucoma, unspecified, bilateral
Short Description
Preglaucoma, unspecified, bilateral
Same as the full description in the CMS dataset.
Parent Code
Preglaucoma, unspecified

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH40-H42Glaucoma
CategoryH40Glaucoma
This CodeH40.003Preglaucoma, unspecified, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Angle closure glaucoma suspect
  • Angle closure glaucoma suspect of bilateral eyes
  • Angle closure glaucoma suspect of left eye
  • Angle closure glaucoma suspect of right eye
  • Bilateral glaucoma suspect
  • Glaucoma suspect caused by corticosteroid
  • Glaucoma suspect of bilateral eyes caused by corticosteroid
  • Glaucoma suspect of left eye
  • Glaucoma suspect of left eye caused by corticosteroid
  • Glaucoma suspect of right eye
  • Glaucoma suspect of right eye caused by corticosteroid
  • Open angle glaucoma suspect
  • Open angle glaucoma suspect of bilateral eyes
  • Open angle glaucoma suspect of left eye
  • Open angle glaucoma suspect of right eye
  • Suspected bilateral glaucoma
  • Suspected glaucoma of left eye
  • Suspected glaucoma of right eye

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H40.003: its own notes plus those printed at H40 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H40 Glaucoma applies to 252 codes
  • absolute glaucoma (H44.51-)
  • congenital glaucoma (Q15.0)
  • traumatic glaucoma due to birth injury (P15.3)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE003
Glaucoma
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Glaucoma

    an ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. the consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (dictionary of visual science, 4th ed)

Patient EducationClinical

Glaucoma

Glaucoma is a group of diseases that can damage the optic nerve of one, or both, of your eyes. This can result in vision loss. There are different types of glaucoma, but the most common type is open-angle glaucoma. Other less common types include angle-closure glaucoma, and congenital glaucoma.

The full article covers:

  • What is glaucoma?
  • What causes glaucoma?
  • What are the symptoms of glaucoma?
  • How is glaucoma diagnosed?
  • What are the treatments for glaucoma?
  • Can glaucoma be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H40.003 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
365.00 Preglaucoma NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H40.003Overview

What is the ICD-10 code for preglaucoma, unspecified, bilateral?

The ICD-10-CM code for preglaucoma, unspecified, bilateral is H40.003 (sometimes written as H40003). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H40.003 (Preglaucoma, unspecified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report preglaucoma, unspecified, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H40.003 group to?

When preglaucoma, unspecified, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H40.003 be reported with a code from H44.51?

Not as a rule. The Excludes1 note at H40, which applies to H40.003, lists "absolute glaucoma (H44.51-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H40.003?

Under the General Equivalence Mappings, preglaucoma, unspecified, bilateral converts to ICD-9-CM 365.00 (preglaucoma NOS). The mapping is approximate, so confirm the match fits the documentation.